Application of Trauma Scores and Scales (Live)-LIFT Score

LIFT Score

Pdf Summary

The LIFT Score, utilized in the TQIP Cohort, integrates the assessment of frailty and cognitive impairment to evaluate patient outcomes, particularly after injuries. It employs established scales like the Clinical Frailty Scale (CFS) or the Frailty Index, where scores range from 1 to 9. Scores of 1-3 indicate no frailty, 4-6 represent mild to moderate frailty, and 7-9 denote severe frailty to terminal illness.<br /><br />In practical application, consider a 70-year-old patient with a minor head injury and no fractures (Injury Severity Score, ISS, of 3), with mild frailty (CFS 3), and comorbidities such as hypertension. The LIFT Score is documented with various NTDS Hospital Events and any performance improvement (PI) measures.<br /><br />Interpreting different LIFT Scores reveals varying levels of risk:<br /><br />1. High Frailty (CFS 7-9) with Low ISS: Even minor injuries may lead to substantial complications, prolonged hospitalizations, or mortality due to severe frailty.<br /><br />2. Moderate Frailty (CFS 4-6) with Low ISS: Reflects moderate risk, increased possibility of complications, extended recovery times, and a need for specialized care despite the injury not being severe.<br /><br />3. Low Frailty (CFS 1-3) with Low ISS: Suggests a relatively lower risk for adverse outcomes, with the patient more likely to experience a quick recovery and minimal complications.<br /><br />The LIFT Score is integral in predicting patient outcomes by considering frailty alongside injury severity, allowing healthcare providers to better anticipate the level of care and intervention required.

Keywords

LIFT Score

TQIP Cohort

frailty assessment

cognitive impairment

Clinical Frailty Scale

Frailty Index

Injury Severity Score

patient outcomes

hospital events

performance improvement